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Family physicians expedite diagnosis of breast disease in urban minority women.

BACKGROUND: The specialty of a patient's usual provider of care is associated with use of mammography and stage of breast cancer diagnosis. … an diagnostic interval was 36 days (interquartile range 21 to 63). After controlling for age, race, insurance, specialty of usual provider of care, employment status, and palpable lump, decreased odds of having diagnostic delay (over 60 days) included having a family physician (odds ratio (OR) 0.242; 95% confidence interval (CI), 0.09 to 0.69), private heal …

Axial myopia is an extremely significant risk factor for young-aged pseudophakic retinal detachment in taiwan.

PURPOSE: To investigate the possible risk factors of retinal detachment (RD) after cataract extraction and intraocular lens implantation in a geographic defined racially uniform population. METHODS: Submitted claim records and charts of 9398 insurance beneficiaries who underwent cataract extraction and intraocular lens implantation between August 1999 and December 2001 were consecutively collected from the Bureau of National Health Insurance (BNHI). At the end of 2003, any ophthalmologic diagnosis and related treatment based on procedure and diagnosis codes listed in physician bills were eval…

Awareness and use of the prostate-specific antigen test among African-American men.

Although African-American men have a greater burden of prostate cancer than whites and other racial and ethnic groups, few studies on the bu … f the PSA test and age, level of education, living in an MSA, and having private or military health insurance. For ever being tested, the multivariate model showed significant associations for age, private or military health insurance, being in fair or poor health, and having a family history of prostate cancer. Some of the correlates, such as age, increase …

Outcome of extremely-low-birth-weight infants at highest risk: gestational age < or =24 weeks, birth weight < or =750 g, and 1-minute Apgar < or =3.

OBJECTIVE: The purpose of this study was to evaluate neurodevelopmental outcome in extremely-low-birth-weight (ELBW) infants, all of whom ha … grade III-IV ICH, cystic periventricular leukomalacia (PVL), male gender, black race, and Medicaid insurance. Two-parent household was associated with an MDI >70. Predictors of PDI < 70 were grade III-IV ICH, PVL, steroids for bronchopulmonary dysplasia (BPD), and Medicaid insurance. CP was associated with grade III-IV ICH and PVL. CONCLUSION: Perinatolog …

Diagnostic assessments in patients with invasive cancer of the cervix: a national patterns of care study of the American College of Surgeons.

Using a standard collection form designed by a multidisciplinary committee of specialists, cancer registrars at 703 hospitals submitted anonymous data on 11,721 patients with cervical cancer diagnosed during 2 study years, 1984 and 1990. Information concerning the initial use of diagnostic assessments was analyzed with respect to the potential influences of clinical stage, patient age, race/ethnicity, insurance status, and modalities of therapy employed. Estimates of the yield of diagnostic information for each test were correlated with clinical stage and patient age. Judged by the number of p…

Access to neonatal intensive care for low-birthweight infants: the role of maternal characteristics.

OBJECTIVES: This study assessed the impact of mother's race, insurance status, and use of prenatal care on very low birthweight infant delivery in or transfer to hospitals with neonatal intensive care units (ICUs). METHODS: Multivariate analysis of Alabama vital statistics records between 1988 and 1990 for infants weighing 500 to 1499 g was conducted, comparing hospital of birth and maternal and infant transfer status, and controlling for infant birthweight and for maternal pregnancy history and demographic characteristics. RESULTS: With other factors adjusted for, non-White mothers with ear…

Immunization barriers in Minnesota private practices: the influence of economics and training on vaccine timing.

OBJECTIVE: Identify barriers to immunization and evaluate the timing of immunization in private practice settings. METHODS: Design was a co … ere late in 32% and 41% of children, respectively. We observed a significant difference, based upon insurance status, in Diphtheria, Tetanus, and Pertussis vaccine timing (p = 0.0001) but not in Measles, Mumps, and Rubella vaccine timing. Significant correlates of earlier Diphtheria, Tetanus, and Pertussis immunization include physician residency training, …

Asbestos-related diseases in the Federal Republic of Germany.

Until recently, in the Federal Republic of Germany there has been a lack of epidemiological data on asbestos-related tumors. Only the numbers of occupational diseases accepted for compensation by the German industrial injuries insurance institutes (Berufsgenossenschaften) can be stated. These show, for 1979, 94 cases of asbestosis, 21 cases of asbestosis associated with lung cancer, and 34 cases of mesothelioma. Since 1972 employees exposed to asbestos dust have been included in a central register by the industrial injuries insurance institutes and are medically examined periodically. By Decem…

Postpartum Medicaid extensions and follow-up care after pregnancy complications.

INTRODUCTION: For women with pregnancy complications, such as hypertensive disorders or gestational diabetes, the postpartum period is a critical, yet underutilized opportunity to prevent both pregnancy-related morbidity and longer-term chronic disease. Loss of insurance coverage postpartum is a barrier to treatment and prevention strategies. METHODS: We examined if extending Medicaid through 12 months postpartum increased postpartum health care utilization for women with pregnancies complicated by diabetes or hypertension. We analyzed 2019-2023 deliveries in Medicaid claims data from New Yor…

Timing of Effect Onset After Restarting Anti CGRP-(Receptor)-Monoclonal Antibodies Following a Mandatory Cessation After One year of Use-A Single Center Retrospective Cohort Study.

BACKGROUND: Calcitonin gene-related peptide (CGRP)-targeted monoclonal antibodies (CGRP-mAbs) effectively prevent migraine, but treatment interruption often leads to symptom recurrence. We evaluated the onset and magnitude of response after restarting CGRP-mAbs following an insurer-mandated cessation after one year of use. METHODS: In this single-center retrospective cohort study, we analyzed 42 patients who restarted the same CGRP-mAb after a median pause of 140 days. The main outcomes were change in monthly migraine days (MMD) versus baseline (pre-treatment) and time to achieve a 50% reduct

A pediatric rehabilitation therapy audit study: A brief report.

PurposeChildren with disabilities benefit from physical, occupational, and speech therapy, but families identify unmet needs for these services. The purpose of this study was to audit access to therapy services in a tri-state region. It was hypothesized that children who were publicly insured and children from minoritized identity groups would face greater access barriers and longer wait times than children covered by private insurance and non-minoritized White children.MethodsThis prospective audit study utilized callers who posed as mothers seeking outpatient therapy services for their child…

Prevalence and age distribution of pemphigus and pemphigoid diseases among paediatric patients in Germany.

BACKGROUND: Autoimmune bullous diseases are rare and mostly occur in adults. Several cases and small case series have been described in children, but no systematic study about the prevalence of autoimmune bullous diseases (AIBD) in children is available. PATIENTS AND METHODS: We analysed data of 1.7 million children insured in the largest German health insurance company based on the ICD-10-GM classification for the year 2015. Data were adjusted to the general German population based on the data of the Federal Statistical Office for the year 2015. RESULTS: The prevalence of AIBD was calculate…

Only 8% of major preventable adverse events after hip arthroplasty are filed as claims: a Swedish multi-center cohort study on 1,998 patients.

Background and purpose - Hip arthroplasty is one of the most performed surgeries in Sweden, and the rate of adverse events (AEs) is fairly high. All patients in publicly financed healthcare in Sweden are insured by the Mutual Insurance Company of Swedish County Councils (Löf). We assessed the proportion of patients that sustained a major preventable AE and filed an AE claim to Löf.Patients and methods - We performed retrospective record review using the Global Trigger Tool to identify AEs in a Swedish multi-center cohort consisting of 1,998 patients with a total or hemi hip arthroplasty. We co…

Prevalence and Predictors of Postdischarge Antibiotic Use Following Mastectomy.

OBJECTIVE Survey results suggest that prolonged administration of prophylactic antibiotics is common after mastectomy with reconstruction. W … rophylactic antibiotics within 5 days after discharge were identified in women with 1 year of prior insurance enrollment; relative risks (RR) were calculated using generalized estimating equations. RESULTS Overall, 12,501 mastectomy procedures were identified; immediate reconstruction was performed in 7,912 of these procedures (63.3%). Postdischarge prophyl …

Association between the First Occurrence of Allergic Rhinitis in Preschool Children and Air Pollution in Taiwan.

The occurrence of allergic rhinitis (AR) may be significantly influenced by air pollution. This study examined the association between the first occurrence of AR in preschool children and the pre-incident levels of air pollutants in Taiwan. We identified 9960 eligible subjects from a systematic sampling cohort database containing 400,000 insureds of the National Health Insurance from 2007 to 2011 and matched them with the environmental monitoring data from 2006 to 2011 according to the locations of their clinics. Pre-incident levels were determined using the average concentrations of air pollu…

Множественный склероз в Германии: анализ данных об административной распространенности и оказании услуг в области здравоохранения в официальной системе здравоохранения.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Данные об использовании медицинских услуг в связи с множественным склерозом (МС) в Германии являются недостаточными. Цель этого исследования заключалась в анализе административной распространенности НР, использования лекарств и типов специалистов, занимающихся лечением НР в амбулаторных условиях в Баварии. МЕТОДЫ: Были использованы данные о Псевудонимных претензиях, представленные баварскими врачами, аккредитованными в системе обязательного медицинского страхования (ШСИ). Согласно определению, административная распространенность НР имеет ≥1 Диагноз MS (Международная клас

Совпадение в аннотации оригинала
BACKGROUND: Healthcare-utilization data for multiple sclerosis (MS) are scarce in Germany. The Purpose of the study was to analyse administrative prevalence of MS, medication use and type of specialists involved in MS treatment in the outpatient setting in Bavaria. METHODS: Pseudonymized claims data from Bavarian Statutory Health Insurance (SHI)-accredited …

Prevalence, comorbidities and outpatient treatment of anorexia and bulimia nervosa in German children and adolescents.

OBJECTIVE: This study aimed at investigating the prevalence, psychiatric comorbidity and outpatient treatment in a sample of German children and adolescents with eating disorders (EDs). METHOD: Data of a large German statutory health insurance company were analysed and outpatients aged between 10 and 21 years with an ED diagnosis in 2009 were identified. RESULTS: Of 248,558 insured children and adolescents, 1,404 patients (79.9 % females, mean age: 16.7; SD: 3.3 years) matched the inclusion criteria. The large majority of patients with anorexia nervosa (AN) and bulimia nervosa (BN) were fema…

[Importance of genetics for health inequalities].

In Germany it has rarely been assessed in a systematic way, if and how genetic disposition and genetic testing are linked to health inequali … n is raised whether genetic information could lead to social discrimination (e.g. concerning health insurance, life insurance or employer). According to the current empirical literature, to date, this risk is (still) rather small. Thus, it is stressed that more research is needed, and that already today there is some need for intervention (e.g. concerning e …

[Transition: between recommendations and real-world care : Results from the InfoTrans project].

BACKGROUND: The transition from pediatric to adult rheumatology care represents a particular challenge for young people with juvenile idiopathic arthritis (JIA). OBJECTIVES: To investigate the continuity of care, disease burden, transition competence and unmet needs among young adults with JIA. MATERIAL AND METHODS: Within the Innovation Fund project InfoTrans, a cross-sectional survey was conducted among- individuals insured with the Barmer health insurance aged 16-25 years with JIA and pseudonymously linked with health insurance claims data. For the present analysis, young adults aged 20 y…

Contemporary Economic, Hospitalization, and Mortality Burden Among Pulmonary Arterial Hypertension Patients: A Real-World US Claims Data Analysis.

This study quantified the recent real-world burden of pulmonary arterial hypertension (PAH) using US real-world data. Adults (18+) with trea … erall, 2712 treated PAH patients were included (mean age 61.8 years, 68.9% female, 57.9% commercial insurance). During mean 2.2 years of follow-up, mean (median) per-patient-per-year all-cause healthcare costs were $302,014 ($210,888) for commercially-insured patients and $200,581 ($147,706) for Medicare patients. Over half (56.2%) of patients had ≥ 1 all-c …